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European Journal of Applied Physiology

, Volume 119, Issue 11–12, pp 2701–2710 | Cite as

The effects of compression stockings on the energetics and biomechanics during walking

  • Longfei Cheng
  • Caihua XiongEmail author
Original Article
  • 145 Downloads

Abstract

Purpose

The purpose of this study was to explore how compression stockings affect the energetics and biomechanics during walking.

Methods

Sixteen male adults participated in this study. Participants completed walking trials on the treadmill and force plates, wearing compression stockings (CS) or nothing as a control condition (CON). The data obtained included metabolic rate, muscle activation, step frequency and step length as well as their variability, joint kinematics and joint kinetics.

Results

The effect of compression stockings on metabolic rate was trivial (CS: 3.81 ± 0.44 W kg−1, CON: 3.83 ± 0.46 W kg−1, p = 0.84, d = 0.05). Activation of calf muscles, step frequency and step length as well as their variability, joint range of motion and joint powers did not show a significant difference between conditions (p = 0.09–0.90, d = 0.01–0.34). The peak knee extension moment during the early stance phase had a tendency to increase (CS: 0.57 ± 0.27 N m kg−1, CON: 0.51 ± 0.28 N m kg−1, p = 0.05, d = 0.19) while the peak knee flexion moment during the late swing phase had a tendency to decrease (CS: 0.16 ± 0.10 N m kg−1, CON: 0.19 ± 0.12 N m kg−1, p = 0.10, d = 0.21). The peak ankle dorsiflexion moment during the early stance phase significantly increased (CS: 0.11 ± 0.06 N m kg−1, CON: 0.08 ± 0.05 N m kg−1, p = 0.02, d = 0.58) while the peak ankle plantar flexion moment during the late swing phase significantly decreased (CS: 1.41 ± 0.12 N m kg−1, CON: 1.47 ± 0.14 N m kg−1, p = 0.02, d = 0.45).

Conclusions

Compression stockings have a limited effect on improving energetics of walking, but they may play a role in improving biomechanics by altering the relative contribution of knee and ankle moments to propulsion.

Keywords

Compression garment Muscle activation Kinematics Kinetics Metabolic cost 

Abbreviations

CG

Compression garment

EMG

Electromyography

GL

Gastrocnemius lateralis

MVC

Maximal voluntary contraction

RER

Respiratory exchange ratio

RMS

Root mean square

ROM

Range of motion

SD

Standard deviation

SOL

Soleus

TA

Tibialis anterior

Notes

Acknowledgements

The authors would like to acknowledge all participants who volunteered to participate in the experiment. We also would like to render thanks to Di Hu, Yuyao Liu, Bo Huang, Xiaowei Xu, Chuang Liu and Zhiliang Xie for all their advice.

Author contributions

CX conceived and designed research. LC conducted experiments, analyzed data and wrote the manuscript. CX revised the manuscript. All authors read and approved the manuscript.

Funding

This work was supported by the National Natural Science Foundation of China under Grants 91648203, and Program of International Science and Technology Cooperation of China under Grant 2016YFE0113600.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. Agu O, Baker D, Seifalian AM (2004) Effect of graduated compression stockings on limb oxygenation and venous function during exercise in patients with venous insufficiency. Vascular 12(1):69–76.  https://doi.org/10.1258/rsmvasc.12.1.69 CrossRefPubMedGoogle Scholar
  2. Ali A, Creasy RH, Edge JA (2010) Physiological effects of wearing graduated compression stockings during running. Eur J Appl Physiol 109(6):1017–1025.  https://doi.org/10.1007/s00421-010-1447-1 CrossRefPubMedGoogle Scholar
  3. Ali A, Creasy RH, Edge JA (2011) The effect of graduated compression stockings on running performance. J Strength Cond Res 25(5):1385–1392.  https://doi.org/10.1519/JSC.0b013e3181d6848e CrossRefPubMedGoogle Scholar
  4. Areces F, Salinero JJ, Abian-Vicen J, González-Millán C, Ruiz-Vicente D, Lara B, Lledó M, Del Coso J (2015) The use of compression stockings during a marathon competition to reduce exercise-induced muscle damage: are they really useful? J Orthop Sports Phys Ther 45(6):462–470CrossRefGoogle Scholar
  5. Bartlett R (1999) Sports biomechanics: reducing injury and improving performance. RoutledgeGoogle Scholar
  6. Barwood MJ, Corbett J, Feeney J, Hannaford P, Henderson D, Jones I, Kirke J (2013) Compression garments: no enhancement of high-intensity exercise in hot radiant conditions. Int J Sports Physiol Perform 8(5):527–535.  https://doi.org/10.1123/ijspp.8.5.527 CrossRefPubMedGoogle Scholar
  7. Bringard A, Perrey S, Belluye N (2006) Aerobic energy cost and sensation responses during submaximal running exercise-positive effects of wearing compression tights. Int J Sports Med 27(05):373–378CrossRefGoogle Scholar
  8. Broatch JR, Bishop DJ, Halson S (2018) Lower limb sports compression garments improve muscle blood flow and exercise performance during repeated-sprint cycling. Int J Sports Physiol Perform 13(7):882–890.  https://doi.org/10.1123/ijspp.2017-0638 CrossRefPubMedGoogle Scholar
  9. Brockway J (1987) Derivation of formulae used to calculate energy expenditure in man. Hum Nutr Clin Nutr 41(6):463–471PubMedGoogle Scholar
  10. Brophy-Williams N, Driller MW, Kitic CM, Fell JW, Halson SL (2017) Effect of compression socks worn between repeated maximal running bouts. Int J Sports Physiol Perform 12(5):621–627.  https://doi.org/10.1123/ijspp.2016-0162 CrossRefPubMedGoogle Scholar
  11. Brophy-Williams N, Driller MW, Kitic CM, Fell JW, Halson SL (2019) Wearing compression socks during exercise aids subsequent performance. J Sci Med Sport 22(1):123–127.  https://doi.org/10.1016/j.jsams.2018.06.010 CrossRefPubMedGoogle Scholar
  12. Chatard J (1998) Elastic bandages, recovery and sport performance. Health Protective Text 2:79–84Google Scholar
  13. Collins SH, Wiggin MB, Sawicki GS (2015) Reducing the energy cost of human walking using an unpowered exoskeleton. Nature 522(7555):212–215.  https://doi.org/10.1038/nature14288 CrossRefPubMedPubMedCentralGoogle Scholar
  14. Conley DL, Krahenbuhl GS (1980) Running economy and distance running performance of highly trained athletes. Med Sci Sports Exerc 12(5):357–360CrossRefGoogle Scholar
  15. Dascombe BJ, Hoare TK, Sear JA, Reaburn PR, Scanlan AT (2011) The effects of wearing undersized lower-body compression garments on endurance running performance. Int J Sports Physiol Perform 6(2):160–173CrossRefGoogle Scholar
  16. de Britto MA, Lemos AL, dos Santos CS, Stefanyshyn DJ, Carpes FP (2017) Effect of a compressive garment on kinematics of jump-landing tasks. J Strength Cond Res 31(9):2480–2488.  https://doi.org/10.1519/JSC.0000000000001620 CrossRefPubMedGoogle Scholar
  17. De Luca CJ (1997) The use of surface electromyography in biomechanics. J Appl Biomech 13(2):135–163CrossRefGoogle Scholar
  18. Dean JC (1985) Kuo AD (2011) Energetic costs of producing muscle work and force in a cyclical human bouncing task. J Appl Physiol 110(4):873–880.  https://doi.org/10.1152/japplphysiol.00505.2010 CrossRefGoogle Scholar
  19. Del Coso J, Areces F, Salinero JJ, González-Millán C, Abián-Vicén J, Soriano L, Ruiz D, Gallo C, Lara B, Calleja-Gonzalez J (2014) Compression stockings do not improve muscular performance during a half-ironman triathlon race. Eur J Appl Physiol 114(3):587–595CrossRefGoogle Scholar
  20. Doan B, Kwon Y-H, Newton R, Shim J, Popper E, Rogers R, Bolt L, Robertson M, Kraemer W (2003) Evaluation of a lower-body compression garment. J Sports Sci 21(8):601–610.  https://doi.org/10.1080/0264041031000101971 CrossRefPubMedGoogle Scholar
  21. Driller MW, Halson SL (2013) The effects of wearing lower body compression garments during a cycling performance test. Int J Sports Physiol Perform 8(3):300–306CrossRefGoogle Scholar
  22. Duffield R, Portus M (2007) Comparison of three types of full-body compression garments on throwing and repeat-sprint performance in cricket players. Br J Sports Med 41(7):409–414.  https://doi.org/10.1136/bjsm.2006.033753 CrossRefPubMedPubMedCentralGoogle Scholar
  23. Fu W, Liu Y, Zhang S, Xiong X, Wei S (2012) Effects of local elastic compression on muscle strength, electromyographic, and mechanomyographic responses in the lower extremity. J Electromyogr Kinesiol 22(1):44–50.  https://doi.org/10.1016/j.jelekin.2011.10.005 CrossRefPubMedGoogle Scholar
  24. Ghai S, Driller MW, Masters RS (2018) The influence of below-knee compression garments on knee-joint proprioception. Gait Posture 60:258–261.  https://doi.org/10.1016/j.gaitpost.2016.08.008 CrossRefPubMedGoogle Scholar
  25. Hermens HJ, Freriks B, Merletti R, Stegeman D, Blok J, Rau G, Disselhorst-Klug C, Hägg G (1999) European recommendations for surface electromyography. Roessingh Res Develop 8(2):13–54Google Scholar
  26. Ibegbuna V, Delis KT, Nicolaides AN, Aina O (2003) Effect of elastic compression stockings on venous hemodynamics during walking. J Vasc Surg 37(2):420–425.  https://doi.org/10.1067/mva.2003.104 CrossRefPubMedGoogle Scholar
  27. Jakeman JR, Byrne C, Eston RG (2010) Lower limb compression garment improves recovery from exercise-induced muscle damage in young, active females. Eur J Appl Physiol 109(6):1137–1144.  https://doi.org/10.1007/s00421-010-1464-0 CrossRefPubMedGoogle Scholar
  28. Kang J, Chaloupka EC, Mastrangelo AM, Hoffman JR (2002) Physiological and biomechanical analysis of treadmill walking up various gradients in men and women. Eur J Appl Physiol 86(6):503–508.  https://doi.org/10.1007/s00421-002-0583-7 CrossRefPubMedGoogle Scholar
  29. Kemmler W, von Stengel S, Köckritz C, Mayhew J, Wassermann A, Zapf J (2009) Effect of compression stockings on running performance in men runners. J Strength Cond Res 23(1):101–105.  https://doi.org/10.1519/JSC.0b013e31818eaef3 CrossRefPubMedGoogle Scholar
  30. Kepple TM, Siegel KL, Stanhope SJ (1997) Relative contributions of the lower extremity joint moments to forward progression and support during gait. Gait Posture 6(1):1–8CrossRefGoogle Scholar
  31. Kraemer WJ, Bush JA, Bauer JA, Tripleft-McBride N, Paxton NJ, Clemson A, Koziris LP, Mangino LC, Fry AC, Newton RU (1996) Influence of compression garments on vertical jump performance in NCAA Division I volleyball players. J Strength Cond Res 10:180–183Google Scholar
  32. Kurz E, Anders C (2018) Effects of wearing lower leg compression sleeves on locomotion economy. J Sports Sci 36(18):1–6.  https://doi.org/10.1080/02640414.2018.1439355 CrossRefGoogle Scholar
  33. Lucas-Cuevas A, Priego-Quesada J, Aparicio I, Giménez J, Llana-Belloch S, Pérez-Soriano P (2015) Effect of 3 weeks use of compression garments on stride and impact shock during a fatiguing run. Int J Sports Med 94(10):826–831.  https://doi.org/10.1055/s-0035-1548813 CrossRefGoogle Scholar
  34. Lucas-Cuevas ÁG, Priego Quesada JI, Giménez JV, Aparicio I, Cortell-Tormo JM, Pérez-Soriano P (2017) Can graduated compressive stockings reduce muscle activity during running? Res Q Exerc Sport 88(2):223–229CrossRefGoogle Scholar
  35. Martorelli SS, Martorelli AS, Pereira MC, Rocha-Junior VA, Tan JG, Alvarenga JG, Brown LE, Bottaro M (2015) Graduated compression sleeves: effects on metabolic removal and neuromuscular performance. J Strength Cond Res 29(5):1273–1278.  https://doi.org/10.1519/JSC.0000000000000401 CrossRefPubMedGoogle Scholar
  36. Miyamoto N, Hirata K, Mitsukawa N, Yanai T, Kawakami Y (2011) Effect of pressure intensity of graduated elastic compression stocking on muscle fatigue following calf-raise exercise. J Electromyogr Kinesiol 21(2):249–254.  https://doi.org/10.1016/j.jelekin.2010.08.006 CrossRefPubMedGoogle Scholar
  37. Mündermann A, Nigg BM, Humble RN, Stefanyshyn DJ (2003) Orthotic comfort is related to kinematics, kinetics, and EMG in recreational runners. Med Sci Sports Exerc 35(10):1710–1719CrossRefGoogle Scholar
  38. Orizio C (1992) Soundmyogram and EMG cross-spectrum during exhausting isometric contractions in humans. J Electromyogr Kinesiol 2(3):141–149CrossRefGoogle Scholar
  39. Rider BC, Coughlin AM, Hew-Butler TD, Goslin BR (2014) Effect of compression stockings on physiological responses and running performance in division III collegiate cross-country runners during a maximal treadmill test. J Strength Cond Res 28(6):1732–1738.  https://doi.org/10.1519/JSC.0000000000000287 CrossRefPubMedGoogle Scholar
  40. Šambaher N, Aboodarda SJ, Silvey DB, Button DC, Behm DG (2016) Effect of an ankle compression garment on fatigue and performance. J Strength Cond Res 30(2):326–335.  https://doi.org/10.1519/Jsc.0000000000001011 CrossRefPubMedGoogle Scholar
  41. Selinger JC, O'Connor SM, Wong JD, Donelan JM (2015) Humans can continuously optimize energetic cost during walking. Curr Biol 25(18):2452–2456.  https://doi.org/10.1016/j.cub.2015.08.016 CrossRefPubMedGoogle Scholar
  42. Stickford AS, Chapman RF, Johnston JD, Stager JM (2015) Lower-leg compression, running mechanics, and economy in trained distance runners. Int J Sports Physiol Perform 10(1):76–83.  https://doi.org/10.1123/ijspp.2014-0003 CrossRefPubMedGoogle Scholar
  43. Tarata MT (2003) Mechanomyography versus Electromyography, in monitoring the muscular fatigue. BioMed Eng Online 2(1):3.  https://doi.org/10.1186/1475-925x-2-3 CrossRefPubMedPubMedCentralGoogle Scholar
  44. Treseler C, Bixby WR, Nepocatych S (2016) The effect of compression stockings on physiological and psychological responses after 5-km performance in recreationally active females. J Strength Cond Res 30(7):1985–1991CrossRefGoogle Scholar
  45. Varela-Sanz A, España J, Carr N, Boullosa DA, Esteve-Lanao J (2011) Effects of gradual-elastic compression stockings on running economy, kinematics, and performance in runners. J Strength Cond Res 25(10):2902–2910.  https://doi.org/10.1519/JSC.0b013e31820f5049 CrossRefPubMedGoogle Scholar
  46. Voloshina AS, Ferris DP (2015) Biomechanics and energetics of running on uneven terrain. J Exp Biol 218(5):711–719CrossRefGoogle Scholar
  47. Wakeling JM, Nigg BM (2001) Modification of soft tissue vibrations in the leg by muscular activity. J Appl Physiol 90(2):412–420CrossRefGoogle Scholar
  48. Wannop JW, Worobets JT, Madden R, Stefanyshyn DJ (2016) Influence of compression and stiffness apparel on vertical jump performance. J Strength Cond Res 30(4):1093–1101CrossRefGoogle Scholar
  49. Zamporri J, Aguinaldo A (2018) The effects of a compression garment on lower body kinematics and kinetics during a drop vertical jump in female collegiate athletes. Orthopaed J Sports Med 6(8):2325967118789955.  https://doi.org/10.1177/2325967118789955 CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Institute of Robotics Research, State Key Lab of Digital Manufacturing Equipment and TechnologyHuazhong University of Science and TechnologyWuhanChina

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